G8888 – Most recent blood pressure not under control, results documented and reviewed

Long description

Most recent blood pressure not under control, results documented and reviewed

Short description

Bp not under control

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

M5B Specialist - psychiatry

Added

January 1, 2012

Last change

January 1, 2015 – No change

Termination date

December 31, 2014

Nearby G codes

• G8880 – Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent, patient with significant age, comorbidities, or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change)
• G8881 – Stage of breast cancer is greater than t1n0m0 or t2n0m0
• G8882 – Sentinel lymph node biopsy procedure not performed, reason not given
• G8883 – Biopsy results reviewed, communicated, tracked and documented
• G8884 – Clinician documented reason that patient's biopsy results were not reviewed
• G8885 – Biopsy results not reviewed, communicated, tracked or documented
• G8886 – Most recent blood pressure under control
• G8887 – Documentation of medical reason(s) for most recent blood pressure not being under control (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
• G8889 – No documentation of blood pressure measurement, reason not given
• G8890 – Most recent ldl-c under control, results documented and reviewed
• G8891 – Documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
• G8892 – Documentation of medical reason(s) for not performing ldl-c test (e.g. patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
• G8893 – Most recent ldl-c not under control, results documented and reviewed
• G8894 – Ldl-c not performed, reason not given
• G8895 – Oral aspirin or other antithrombotic therapy prescribed
• G8896 – Documentation of medical reason(s) for not prescribing oral aspirin or other antithrombotic therapy (e.g., patient documented to be low risk or patient with terminal illness or treatment of hypertension with standard treatment goals is not clinically appropriate, or for whom risk of aspirin or other antithrombotic therapy exceeds potential benefits such as for individuals whose blood pressure is poorly controlled)